| NPI | 1073297099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA T COSTA Director Of Therapy & Consultation 860-371-4586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-10-01 |